The following Management's Discussion and Analysis of Financial Condition and
Results of Operations ("MD&A") is intended to help the reader understand our
results of operations and financial condition, cash flows and other changes in
financial condition. MD&A is provided as a supplement to, and should be read in
conjunction with, our audited consolidated financial statements and the
accompanying notes to our consolidated financial statements included in our
Annual Report on Form 10-K. This discussion may contain forward-looking
statements based upon current expectations that involve risks and uncertainties.
Our actual results may differ materially from those anticipated in these
forward-looking statements as a result of various factors, including those set
forth in Special Note Regarding Forward-Looking Statements included elsewhere in
this Quarterly Report on Form 10-Q and in Part I, Item 1A. Risk Factors in our
Annual Report on Form 10-K.

Royalty Pharma plc is an English public limited company incorporated under the
laws of England and Wales that was created for the purpose of consolidating our
predecessor entities and facilitating the initial public offering ("IPO") of our
Class A ordinary shares that was completed in June 2020. "Royalty Pharma," the
"Company," "we," "us" and "our" refer to Royalty Pharma plc and its subsidiaries
on a consolidated basis.

Business Overview

We are the largest buyer of biopharmaceutical royalties and a leading funder of
innovation across the biopharmaceutical industry. Since our founding in 1996, we
have been pioneers in the royalty market, collaborating with innovators from
academic institutions, research hospitals and not-for-profits through small and
mid-cap biotechnology companies to leading global pharmaceutical companies. We
have assembled a portfolio of royalties which entitles us to payments based
directly on the top-line sales of many of the industry's leading therapies,
which includes royalties on more than 35 commercial products, including AbbVie
and Johnson & Johnson's Imbruvica, Astellas and Pfizer's Xtandi, Biogen's
Tysabri, Johnson & Johnson's Tremfya, Gilead's Trodelvy, Merck & Co.'s Januvia,
Novartis' Promacta, Vertex's Kalydeco, Orkambi, Symdeko and Trikafta, and ten
development-stage product candidates. We fund innovation in the
biopharmaceutical industry both directly and indirectly - directly when we
partner with companies to co-fund late-stage clinical trials and new product
launches in exchange for future royalties, and indirectly when we acquire
existing royalties from the original innovators.

Our capital-efficient business model enables us to benefit from many of the most
attractive characteristics of the biopharmaceutical industry, including long
product life cycles, significant barriers to entry and noncyclical revenues, but
with substantially reduced exposure to many common industry challenges such as
early stage development risk, therapeutic area constraints, high research and
development costs, and high fixed manufacturing and marketing costs. We have a
highly flexible approach that is agnostic to both therapeutic area and treatment
modality, allowing us to acquire royalties on the most attractive therapies
across the biopharmaceutical industry.

We classify our royalty acquisitions by the approval status of the therapy at the time of acquisition:



•Approved Products - We acquire royalties in approved products that generate
predictable cash flows and may offer upside potential from unapproved
indications. Since inception in 1996 through 2021, we have deployed $15.0
billion of cash to acquire royalties on approved products. From 2012 through
2021, we have acquired $10.2 billion of royalties on approved products.

•Development-Stage Product Candidates - We acquire royalties on development-stage product candidates that have demonstrated strong clinical proof of concept. From 2012, when we began acquiring royalties on development-stage product candidates, through 2021, we have deployed $7.8 billion to acquire royalties on development-stage product candidates.



While we classify our acquisitions in these two broad categories, several of our
acquisitions of royalties on approved products were driven by the long-term
potential of these products in other, unapproved indications. Similarly, some of
our royalty acquisitions in development-stage product candidates are for
products that are approved in other indications.

                                       27
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                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)

We acquire product royalties in a variety of ways that can be tailored to the
needs of our partners. We classify our product royalty acquisitions according to
the following structures:

•Third-party Royalties - A royalty is the contractual right to a percentage of
top-line sales from a licensee's use of a product, technology or intellectual
property. The majority of our current portfolio consists of third-party
royalties.

•Synthetic/Hybrid Royalties - A synthetic royalty is the contractual right to a
percentage of top-line sales created by the developer and/or marketer of a
therapy in exchange for funding. A synthetic royalty may also include contingent
milestone payments, or be structured as a long-term stream of fixed payments
with a predetermined schedule. In many of our synthetic royalties, we may also
make investments in the public equity of the company, where the main value
driver of the company is the product on which we concurrently acquired a
royalty.

•Development-stage Funding - We have historically funded ongoing research and
development ("R&D"), typically for large biopharmaceutical companies, in
exchange for future royalties and/or milestones if the product or indication we
are funding is approved. We have also made upfront development-stage funding
payments to biotechnology companies to acquire royalties and/or milestones on
development-stage product candidates.

•Mergers and Acquisitions ("M&A") - We acquire royalties in connection with M&A
transactions, often from the buyers of biopharmaceutical companies when they
dispose of the non-strategic assets of the target company following the closing
of the acquisition. We also seek to partner with companies to acquire other
biopharmaceutical companies that own significant royalties. We may also seek to
acquire biopharmaceutical companies that have significant royalties or where we
can create royalties in subsequent transactions.

Background and Format of Presentation



In connection with our IPO, we consummated an exchange offer on February 11,
2020. Through the exchange offer, investors representing 82% of the aggregate
limited partnership in the various partnerships (the "Legacy Investors
Partnerships") that own Royalty Pharma Investments, an Irish unit trust ("Old
RPI"), exchanged their limited partnership interests in the Legacy Investors
Partnerships for limited partnership interests in RPI US Partners 2019, LP, a
Delaware limited partnership or RPI International Holdings 2019, LP, a Cayman
Islands exempted limited partnership (together, the "Continuing Investors
Partnerships"). The exchange offer transaction together with (i) the concurrent
incurrence of indebtedness under senior credit facilities and (ii) the issuance
of additional interests in Continuing Investors Partnerships to satisfy
performance payments payable in respect of assets acquired prior to the date of
the IPO are referred to as the "Exchange Offer Transactions".

Following our IPO, we operate and control the business affairs of Royalty Pharma
Holdings Ltd, ("RP Holdings") through our controlling ownership of RP Holdings'
Class A ordinary shares (the "RP Holdings Class A Interests") and RP Holdings'
Class B ordinary shares (the "RP Holdings Class B Interests"). RP Holdings is
the sole owner of RPI 2019 ICAV, which is an Irish collective asset management
entity formed to facilitate our Exchange Offer Transactions.

As a result of the Exchange Offer Transactions, we own, through our subsidiary
RPI 2019 Intermediate Finance Trust, a Delaware statutory trust ("RPI
Intermediate FT"), an 82% economic interest in Old RPI. Through our 82% indirect
ownership of Old RPI, we are legally entitled to 82% of the economics of Old
RPI's wholly-owned subsidiaries, RPI Finance Trust, a Delaware statutory trust
("RPIFT") and RPI Acquisitions (Ireland), Limited ("RPI Acquisitions"), an Irish
private limited company, and 66% of Royalty Pharma Collection Trust, a Delaware
statutory trust ("RPCT").

The remaining 34% of RPCT is owned by the Legacy Investors Partnerships and Royalty Pharma Select Finance Trust, a Delaware statutory trust ("RPSFT"), which is wholly owned by Royalty Pharma Select, an Irish unit trust.

Understanding Our Financial Reporting



Most of the royalties we acquire are treated as investments in cash flow streams
and are classified as financial assets measured under the effective interest
method in accordance with generally accepted accounting principles in the United
States ("GAAP"). Under this accounting methodology, we calculate the effective
interest rate on each financial royalty asset using a forecast of the expected
cash flows to be received over the life of the financial royalty asset relative
to the initial acquisition price. The yield, which is calculated at the end of
each reporting period and applied prospectively, is then recognized via
accretion into our income at the effective rate of return over the expected life
of the financial royalty asset.

                                       28
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                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)

The measurement of income from our financial royalty assets requires significant
judgments and estimates, including management's judgment in forecasting the
expected future cash flows of the underlying royalties and the expected duration
of the financial royalty asset. Our cash flow forecasts are generated and
updated each reporting period by manually compiling sell-side equity research
analysts' consensus sales estimates for each of the products in which we own
royalties. We then calculate our expected royalty cash flows using these
consensus sales forecasts. In any given reporting period, any decline or
increase in the expected future cash flows associated with a financial royalty
asset is recognized in our income statement as non-cash provision expense or
provision income, respectively.

As a result of the non-cash charges associated with applying the effective
interest method accounting methodology, our income statement activity can be
volatile and unpredictable. Small declines in sell-side equity research
analysts' consensus sales forecasts over a long term horizon can result in an
immediate non-cash income statement expense recognition which generates a
corresponding cumulative allowance that reduces the gross asset balance, even
though the applicable cash inflows will not be realized for many years into the
future. For example, in late 2014 we acquired the cystic fibrosis franchise
royalty and beginning in the second quarter of 2015, declines in near-term sales
forecasts of sell-side equity research analysts caused us to recognize non-cash
provision expense. Over the course of 10 quarters, we recognized non-cash
provision expense as a result of these changes in forecasts including non-cash
provision expense of $743.2 million in 2016, ultimately reaching a peak
cumulative allowance of $1.30 billion by September 30, 2017 related to this
financial royalty asset. With the approval of the Vertex triple combination
therapy, Trikafta, in October 2019, sell-side equity research analysts'
consensus sales forecasts increased to reflect the larger addressable market and
the extension of the expected duration of the Trikafta royalty. While small
reductions in the cumulative allowance for the cystic fibrosis franchise were
recognized as provision income over the course of 2017 and 2018, there remained
a $1.10 billion cumulative allowance that was fully reduced by recognizing
provision income of $1.10 billion in 2019 as a result of an increase in
sell-side equity research analysts' consensus sales forecasts associated with
the Trikafta approval. This example illustrates the volatility caused by our
accounting model.

In addition, due to the nature of our effective interest methodology, there is
no direct correlation between our income from financial royalty assets and our
royalty receipts. Therefore, management believes investors should not look to
income from royalties and the associated provision for changes in future cash
flows as a measure of our near-term financial performance or as a source for
predicting future income or growth trends. Our operations have historically been
financed primarily with cash flows generated by our royalties. Given the
importance of cash flows and their predictability to management's operation of
the business, management uses royalty receipts as the primary measure of our
operating performance. Royalty receipts refer to the summation of the following
line items from our GAAP consolidated statements of cash flows: Cash collections
from financial royalty assets, Cash collections from intangible royalty assets,
Other royalty cash collections, Proceeds from available for sale debt
securities, and Distributions from equity method investees.

In addition to analyzing our results on a GAAP basis, management also reviews
our results on a non-GAAP basis. The closest comparable GAAP measure to each of
the non-GAAP measures that management review is Net cash provided by operating
activities. The key non-GAAP metrics we focus on are Adjusted Cash Receipts,
Adjusted EBITDA and Adjusted Cash Flow, each of which is further discussed in
the section titled "Non-GAAP Financial Results".

Adjusted Cash Receipts and Adjusted Cash Flow are used by management as key
liquidity measures in the evaluation of our ability to generate cash from
operations. Both measures are an indication of the strength of the Company and
the performance of the business. Management uses Adjusted Cash Flow to compare
its performance against non-GAAP adjusted net income used by companies in the
biopharmaceutical industry. Adjusted EBITDA, which is derived from Adjusted Cash
Receipts, is used by our lenders to assess our ability to meet our financial
covenants.

Refer to the section titled "Non-GAAP Reconciliations" for additional discussion of management's use of non-GAAP measures as supplemental financial measures.


                                       29
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                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)


Portfolio Overview

Our portfolio consists of royalties on more than 35 marketed therapies and ten
development-stage product candidates. The therapies in our portfolio address
therapeutic areas such as rare disease, cancer, neurology, infectious disease,
hematology and diabetes, and are delivered to patients across both primary and
specialty care settings. The table below includes royalty receipts for the three
months ended March 31, 2022 and 2021 in order of contributions to royalty
receipts for the three months ended March 31, 2022 (in thousands).
                                                                                                                        For the Three
                                                                                                                     Months Ended March
                                                                                                                             31,
            Royalties                              Marketer(s)                      Therapeutic Area                           2022                2021

Cystic fibrosis franchise (1)           Vertex                                   Rare disease                              $  201,882          $  166,809
Tysabri                                 Biogen                                   Neurology                                     97,439              86,921
Imbruvica                               AbbVie, Johnson & Johnson                Cancer                                        87,171              89,135
Promacta                                Novartis                                 Hematology                                    47,897              44,126
Xtandi                                  Pfizer, Astellas                         Cancer                                        43,395              41,045
Januvia, Janumet, Other DPP-IVs
(2)                                     Merck & Co., others                      Diabetes                                      35,682              35,761

Tremfya                                 Johnson & Johnson                        Immunology                                    28,224                   -
Nurtec ODT/Biohaven payment (3)         Biohaven, Pfizer                         Neurology                                     20,375              16,501
Cabometyx/Cometriq                      Exelixis, Ipsen, Takeda                  Cancer                                        12,857                   -
Farxiga/Onglyza                         AstraZeneca                              Diabetes                                       9,469               8,562
Evrysdi                                 Roche                                    Rare disease                                   9,197               1,677
Trodelvy                                Gilead                                   Cancer                                         4,892               2,605
Erleada                                 Johnson & Johnson                        Cancer                                         4,886               3,104
Emgality                                Lilly                                    Neurology                                      4,764               3,264
Crysvita                                Ultragenyx, Kyowa Kirin                  Rare disease                                   4,712               3,588
Orladeyo                                BioCryst                                 Rare disease                                   4,426                  12
Prevymis                                Merck & Co.                              Infectious disease                             4,126               8,630

Oxlumo                                  Alnylam                                  Rare disease                                     766                   -
Other products (4)                                                                                                             88,871             137,738
Total royalty receipts                                                                                                     $  711,031          $  649,478


(1)The cystic fibrosis franchise includes the following approved products:
Kalydeco, Orkambi, Symdeko/Symkevi, and Trikafta/Kaftrio.
(2)Januvia, Janumet, Other DPP-IVs include the following approved products:
Onglyza, Kombiglyze, Galvus, Eucreas and Nesina. The Other DPP-IVs are marketed
by AstraZeneca, Novartis and Takeda.
(3)Includes royalty receipts for Nurtec ODT of $4.8 million and $0.9 million for
the three months ended March 31, 2022 and 2021, respectively, and quarterly
redemptions of $15.6 million in 2022 and 2021 of the Series A Biohaven Preferred
Shares (presented as Proceeds from available for sale debt securities on the
statements of cash flows).
(4)Other products primarily include royalty receipts on the following products:
Bosulif (a product co-developed by our joint venture investee, Avillion,I, for
which receipts are presented as Distributions from equity method investees on
the statements of cash flows), Cimzia, Entyvio, HIV franchise, IDHIFA, Letairis,
Lexiscan, Mircera, Myozyme, Nesina, Soliqua, Tazverik and contributions from the
Legacy SLP Interest (defined below).

                                       30
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                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

                                  (UNAUDITED)

Financial Overview

Financial Highlights

•Net cash provided by operating activities totaled $460.3 million and $526.1
million for the three months ended March 31, 2022 and 2021, respectively. Net
cash provided by operating activities is the closest comparable GAAP financial
measure to the supplemental non-GAAP liquidity measures that follow.
•Adjusted Cash Receipts (a non-GAAP metric) totaled $604.6 million and
$523.8 million for the three months ended March 31, 2022 and 2021, respectively.
•Adjusted EBITDA (a non-GAAP metric) totaled $555.7 million and $481.6 million
for the three months ended March 31, 2022 and 2021, respectively.
•Adjusted Cash Flow (a non-GAAP metric) totaled $367.1 million and
$409.3 million for the three months ended March 31, 2022 and 2021, respectively.

Understanding Our Results of Operations

We report non-controlling interests related to the portion of ownership interests of consolidated subsidiaries not owned by us which are attributable to:



1.   The Legacy Investors Partnerships' 18% ownership interest in Old RPI. The
value of this non-controlling interest will decline over time as the assets in
Old RPI expire.

2.   The RP Holdings Class B Interests held indirectly by the Continuing
Investors Partnerships, which represent an approximate 28% ownership interest in
RP Holdings as of March 31, 2022 and are exchangeable for our Class A ordinary
shares. The value of this non-controlling interest will decline over time if the
investors who indirectly own the RP Holdings Class B Interests conduct exchanges
for our Class A ordinary shares.

3. A de minimis interest in RPCT held by RPSFT as a result of a 2011 reorganization transaction. The value of this non-controlling interest will decline over time as the royalty assets owned by RPCT expire and is expected to be substantially eliminated by the end of 2022.



4.   The RP Holdings Class C ordinary share (the "RP Holdings Class C Special
Interest") held by RPI EPA Holdings, LP ("EPA Holdings"), an affiliate of the
Manager. Income will not be allocated to this non-controlling interest until
certain conditions are met.

All of the results of operations of RP Holdings, Old RPI and RPCT are consolidated into our financial statements.



Following the IPO, EPA Holdings is entitled to receive Equity Performance Awards
through its RP Holdings Class C Special Interest. Equity Performance Awards owed
to EPA Holdings will be recognized as an equity transaction when the obligation
becomes due and will impact the income allocated to non-controlling interest
related to the RP Holdings Class C Special Interest at that time. The Equity
Performance Awards will be payable in RP Holdings Class B Interests for which we
will issue the same number of our Class B ordinary shares, which may be
subsequently exchanged for our Class A ordinary shares. We do not currently
expect any material Equity Performance Awards to be payable until certain
performance conditions are met, which we do not expect to occur until the
mid-2020s.

Total income and other revenues



Total income and other revenues is primarily comprised of income from our
financial royalty assets, royalty revenue from our intangible royalty assets,
and royalty income generally arising from successful commercialization of
products developed through joint R&D funding arrangements. Most of our royalties
on both approved products and development-stage product candidates that are not
accounted for as R&D funding expense are classified as financial assets as our
ownership rights are generally passive in nature. In instances in which we
acquire a royalty that does include more substantial rights or ownership of the
underlying intellectual property, we classify such royalties as intangible
assets.

                                       31
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                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)

We recognize interest income related to our financial royalty assets. Royalty
revenue relates solely to revenue from our DPP-IV patent estate for which the
patent rights have been licensed to various counterparties. For the three months
ended March 31, 2022 and 2021, the royalty payors accounting for greater than
10% of our total income and other revenues in any one period are shown in the
table below:

                                                                              For the Three Months Ended
                                                                                       March 31,
      Royalty Payor                            Royalties                                        2022                  2021
Vertex                           Cystic fibrosis franchise                                           35  %                 32  %
AbbVie                           Imbruvica                                                           16  %                 17  %
                                 HIV franchise, Letairis, Lexiscan,
Gilead                           Trodelvy                                                                *                 12  %

* Represents less than 10%.

Income from financial royalty assets



Our financial royalty assets represent investments in cash flow streams with
yield components that most closely resemble loans measured at amortized cost
under the effective interest method. We calculate the effective interest rate
using forecasted expected cash flows to be received over the life of the royalty
asset relative to the initial acquisition price. Interest income is recognized
at the effective rate of return over the expected life of the asset, which is
calculated at the end of each reporting period and applied prospectively. As
changes in sell-side equity research analysts' consensus sales estimates are
updated on a quarterly basis, the effective rate of return changes. For example,
if sell-side equity research analysts' consensus sales forecasts increase, the
yield to derive income on a financial royalty asset will increase and result in
higher income for subsequent periods.

Variables affecting the recognition of interest income from financial royalty
assets on individual products under the prospective effective interest method
include any one of the following: (1) additional acquisitions, (2) changes in
expected cash flows of the underlying pharmaceutical products, derived primarily
from sell-side equity research analysts' consensus sales forecasts, (3)
regulatory approval of additional indications which leads to new cash flow
streams, (4) changes to the estimated duration of the royalty (i.e., patent
expiration date) and (5) changes in amounts and timing of projected royalty
receipts and milestone payments. Our financial royalty assets are directly
linked to sales of underlying pharmaceutical products whose life cycle typically
peaks at a point in time, followed frequently by declining sales trends due to
the entry of generic competition, resulting in natural declines in the asset
balance and periodic interest income over the life of our royalties. The
recognition of interest income from royalties requires management to make
estimates and assumptions around many factors, including those impacting the
variables noted above.

Revenue from intangible royalty assets



Revenue from intangible royalty assets is derived from sales of Januvia, Janumet
and other DPP-IV products by our licensees. Our royalties on Januvia and Janumet
expired in the three months ended March 31, 2022. Our royalties on other DPP-IVs
have also substantially ended and we do not expect any material revenue from our
DPP-IV intangible assets in the future periods.

Other royalty income



Other royalty income primarily includes income from financial royalty assets
that have been fully amortized by the expected expiry date and royalty income
from synthetic royalties arising out of R&D funding arrangements. Occasionally,
a royalty asset may be amortized on an accelerated basis due to collectability
concerns, which, if resolved, may result in future cash collections when no
financial royalty asset remains. Similarly, we may continue to collect royalties
on a financial royalty asset beyond the estimated duration by which the
financial asset was fully amortized. In each scenario where a financial royalty
asset has been fully amortized, income from such royalty is recognized as Other
royalty income.

                                       32
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                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)

Provision for changes in expected cash flows from financial royalty assets

The Provision for changes in expected future cash flows from financial royalty assets includes the following:



•expense or income related to the current period activity resulting from
adjustments to the cumulative allowance for changes in expected cash flows; and
•expense or income related to the provision for current expected credit losses,
which reflects the activity for the period, primarily due to new financial
royalty assets with limited protective rights and changes to cash flow estimates
for financial royalty assets with limited protective rights.

As discussed above, income is accreted on our financial royalty assets using the
effective interest method. As we update our forecasted cash flows on a periodic
basis and recalculate the present value of the remaining future cash flows, any
shortfall when compared to the carrying value of the financial royalty asset is
recorded directly to the income statement through the line item Provision for
changes in expected cash flows from financial royalty assets. If, in a
subsequent period, there is an increase in expected cash flows or if actual cash
flows are greater than cash flows previously expected, we reduce the cumulative
allowance previously established for a financial royalty asset for the
incremental increase in the present value of cash flows expected to be
collected. This results in provision income (i.e., a credit to the provision).

Most of the same variables and management's estimates affecting the recognition
of interest income on our financial royalty assets also impact the provision. In
any period, we will recognize provision income or expense as a result of the
following factors: (1) changes in expected cash flows of the underlying
pharmaceutical products, derived primarily from sell-side equity research
analysts' consensus sales forecasts, (2) regulatory approval of additional
indications which leads to new cash flow streams, (3) changes to the estimated
duration of the royalty (i.e., patent expiration date) and (4) changes in
amounts and timing of projected royalty receipts and milestone payments.

R&D funding expense



R&D funding expense consists of upfront and ongoing development-stage funding
payments we have made to counterparties to acquire royalties and/or milestones
on development-stage product candidates. Upfront development-stage funding
expense includes payments made at the close of acquisitions and subsequent
milestone payments. Ongoing development-stage funding payments are made as the
related product candidates undergo clinical trials with our counterparties.
These expenditures relate to the activities performed by our counterparties to
develop and test new products, to test existing products for treatment in new
indications, and to ensure product efficacy and regulatory compliance prior to
launch.

General and administrative expenses



General and administrative ("G&A") expenses include primarily Operating and
Personnel Payments (defined below), legal expenses, other expenses for
professional services and share-based compensation. The expenses incurred in
respect of Operating and Personnel Payments are expected to comprise the most
significant component of G&A expenses on an ongoing basis.

Under the management agreement that became effective on February 11, 2020 (the
"Management Agreement"), we pay quarterly operating and personnel expenses to
the Manager or its affiliates ("Operating and Personnel Payments") equal to 6.5%
of the cash receipts from royalty investments for each quarter and 0.25% of the
value of our security investments under GAAP as of the end of each quarter.

The operating and personnel payments for Old RPI, an obligation of the Legacy
Investors Partnerships as a non-controlling interest in Old RPI and for which
the expense is reflected in G&A expenses, are calculated as the greater of $1
million per quarter and 0.3125% of royalties from Royalty Investments (as
defined in the limited partnership agreements of the Legacy Investors
Partnerships) during the previous twelve calendar months.

                                       33
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                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)

Equity in (earnings)/losses of equity method investees

Equity in (earnings)/losses of equity method investees primarily includes the results of our share of income or loss from the following non-consolidated affiliates:



1. Legacy SLP Interest. In connection with the Exchange Offer Transactions, we
acquired an equity method investment from the Continuing Investors Partnerships
in the form of a special limited partnership interest in the Legacy Investors
Partnerships (the "Legacy SLP Interest") in exchange for issuing shares in our
subsidiary. The Legacy SLP Interest entitles us to the equivalent of performance
distribution payments that would have been paid to the general partner of the
Legacy Investors Partnerships and a performance income allocation on a similar
basis. As the Legacy Investors Partnerships no longer participate in investment
opportunities, the value of the Legacy SLP Interest is expected to decline over
time.

2. The Avillion Entities. The Avillion entities (as defined below) partner with
global biopharmaceutical companies to perform R&D in exchange for success-based
milestones and/or royalties once products are commercialized. Our investments in
Avillion Financing I, LP ("Avillion I") and BAv Financing II, LP ("Avillion II",
or, together with Avillion I, the "Avillion Entities") are accounted for using
the equity method.

Other expense, net

Other expense, net primarily includes the change in fair market value of our
equity securities and the unrealized gains and losses on our available for sale
debt securities, including related forwards and funding commitments, and
interest income.

Net income attributable to non-controlling interests



The net income attributable to non-controlling interests includes the Legacy
Investors Partnerships' approximately 18% share of earnings in Old RPI. As the
Legacy Investors Partnerships no longer participate in investment opportunities,
the related net income attributable to this non-controlling interest is expected
to decline over time.

Net income attributable to non-controlling interests includes the RP Holdings
Class B Interests held by the Continuing Investors Partnerships and will include
net income attributable to the RP Holdings Class C Special Interest held by EPA
Holdings once certain conditions have been met. Future net income attributable
to the non-controlling interest related to the RP Holdings Class B Interests
held by the Continuing Investors Partnerships will decline over time if the
investors who indirectly own the RP Holdings Class B Interests conduct exchanges
for our Class A ordinary shares.

Net income attributable to non-controlling interests also includes RPSFT's 20%
share of earnings in RPCT, which is a consolidated subsidiary of Old RPI. We
expect net income attributable to this non-controlling interest to decline over
time as the royalty assets owned by RPCT expire and to be substantially
eliminated by the end of 2022.

Net income attributable to non-controlling interests above can fluctuate significantly from period to period, primarily driven by volatility in the income statement activity of the respective underlying entity as a result of the non-cash charges associated with applying the effective interest accounting methodology as described in section titled "Understanding Our Financial Reporting".


                                       34
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                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)

Results of Operations

For the Three Months Ended March 31, 2022 and 2021

The comparison of our historical results of operations for the three months ended March 31, 2022 and 2021 is as follows:



(in thousands)                                                   For the Three Months Ended March 31,              2022 vs. 2021 Change
                                                                                                                  2022                2021                $                  %
Income and other revenues:
Income from financial royalty assets                                                                         $   511,523          $ 529,625          $ (18,102)              (3.4) %
Revenue from intangible royalty assets                                                                            33,586             36,061             (2,475)              (6.9) %
Other royalty income                                                                                              16,940              7,341              9,599              130.8  %
Total income and other revenues                                                                                  562,049            573,027            (10,978)              (1.9) %
Operating expenses:
Provision for changes in expected cash flows
from financial royalty assets                                                                                    184,621            292,262           (107,641)             (36.8) %
Research and development funding expense                                                                         100,500              2,641             97,859                     *
Amortization of intangible assets                                                                                  5,670              5,671                 (1)               0.0  %
General and administrative expenses                                                                               51,540             43,156              8,384               19.4  %

Total operating expenses, net                                                                                    342,331            343,730             (1,399)              (0.4) %
Operating income                                                                                                 219,718            229,297             (9,579)              (4.2) %
Other (income)/expense:
Equity in (earnings)/losses of equity method
investees                                                                                                           (397)             1,918             (2,315)            (120.7) %
Interest expense                                                                                                  47,063             37,415              9,648               25.8  %

Other expense, net                                                                                                44,969             30,985             13,984               45.1  %
Total other expenses, net                                                                                         91,635             70,318             21,317               30.3  %
Consolidated net income                                                                                          128,083            158,979            (30,896)             (19.4) %
Net income attributable to non-controlling
interests                                                                                                         76,322             89,860            (13,538)             (15.1) %
Net income attributable to Royalty Pharma plc                                                                $    51,761          $  69,119          $ (17,358)             (25.1) %


*Percentage change is not meaningful.

Total income and revenues

Income from financial royalty assets



Income from financial royalty assets by top products for the three months ended
March 31, 2022 and 2021 is as follows, in order of contribution to income for
the three months ended March 31, 2022:

(in thousands)                                      For the Three Months Ended March 31,               2022 vs. 2021 Change
                                                                                                     2022                2021                 $                   %
Cystic fibrosis franchise                                                                       $   194,457          $  184,816          $   9,641                  5.2  %
Imbruvica                                                                                            87,627              99,115            (11,488)               (11.6) %
Tysabri                                                                                              52,521              51,098              1,423                  2.8  %
Xtandi                                                                                               24,917              26,980             (2,063)                (7.6) %
Promacta                                                                                             20,804              16,284              4,520                 27.8  %
Evrysdi                                                                                              18,088              14,426              3,662                 25.4  %
Other                                                                                               113,109             136,906            (23,797)               (17.4) %
Total income from financial royalty
assets                                                                                          $   511,523          $  529,625          $ (18,102)                (3.4) %



                                       35

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                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)

Three months ended March 31, 2022 and 2021



Income from financial royalty assets decreased by $18.1 million, or 3.4%, in the
three months ended March 31, 2022 compared to the three months ended March 31,
2021, primarily driven by declines in sell-side equity research analysts'
consensus sales forecasts for Imbruvica and the maturity of our royalties from
the HIV franchise. The decrease in income was partially offset by income related
to newly acquired assets, primarily Tremfya, Cabometyx/Cometriq and Oxlumo, for
which there was no comparable activity in the three months ended March 31, 2021.

Revenue from intangible royalty assets

Three months ended March 31, 2022 and 2021

Revenue from intangible royalty interests was relatively flat in the three months ended March 31, 2022 compared to the three months ended March 31, 2021.

Other royalty income

Three months ended March 31, 2022 and 2021



Other royalty income increased by $9.6 million, or 130.8%, in the three months
ended March 31, 2022 compared to the three months ended March 31, 2021,
primarily related to growth in the ongoing product launches of Nurtec ODT and
Trodelvy that arose from our R&D funding agreements with Biohaven and
Immunomedics, respectively. Other royalty income in the three months ended March
31, 2022 also includes income from Letairis, a fully amortized financial royalty
asset, but for which we expect minimal residual royalty income.

Provision for changes in expected cash flows from financial royalty assets



The breakdown of our provision for changes in expected future cash flows
includes the following:
•expense or income related to the current period activity resulting from
adjustments to the cumulative allowance for changes in expected cash flows; and
•expense or income related to the provision for current expected credit losses.

As the provision activity is a combination of income and expense items, the
provision breakdown by royalty, exclusive of the provision for current expected
credit losses, is as follows, based on the largest contributors to each period's
provision income or expense:

(in thousands)
                                           For the Three                                                  For the Three
                                           Months Ended                                                   Months Ended
                                             March 31,                                                      March 31,
              Royalty                          2022                          Royalty                          2021
Imbruvica                                 $    108,910          Imbruvica                                $     63,414
Tazverik                                        64,356          Cystic fibrosis franchise                      53,092
IDHIFA                                          38,491          Tazverik                                       48,422
Xtandi                                          24,857          Xtandi                                         42,852
Cystic fibrosis franchise                      (48,636)         Emgality                                       35,236
Other                                           46,224          Other                                          13,305
Total provision, exclusive of                  234,202          Total provision, exclusive of                 256,321
provision for credit losses                                     provision for credit losses
Provision for current expected                 (49,581)         Provision for current expected                 35,941
credit losses                                                   credit losses
Total provision expense                   $    184,621          Total provision expense                  $    292,262


                                       36

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                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)

Three months ended March 31, 2022 and 2021



In the three months ended March 31, 2022, we recorded provision expense of
$184.6 million, comprised of $234.2 million in provision expense for changes in
expected cash flows and $49.6 million in provision income for current expected
credit losses. We recorded provision expense for Imbruvica and Tazverik,
primarily due to significant declines in sell-side equity research analysts'
consensus sales forecasts partially offset by provision income for the cystic
fibrosis franchise due to a significant increase in sell-side equity research
analysts' consensus sales forecasts. During the three months ended March 31,
2022, the provision income for credit losses was primarily driven by a
significant decrease in current expected credit losses related to Tazverik as a
result of the corresponding significant decline in the financial asset value.

In the three months ended March 31, 2021, we recorded provision expense of
$292.3 million, of which $256.3 million and $35.9 million related to provision
expense for changes in expected cash flows and current expected credit losses,
respectively. We recorded provision expense for Imbruvica, the cystic fibrosis
franchise, Tazverik, Xtandi and Emgality, primarily due to declines in sell-side
equity research analysts' consensus sales forecasts. During the three months
ended March 31, 2021, the provision expense for current expected credit losses
was primarily driven by increases to our portfolio of financial royalty assets,
including the incremental $100 million financial royalty asset related to
zavegepant and a new royalty interest in Cabometyx/Cometriq.

R&D funding expense

Three months ended March 31, 2022 and 2021



R&D funding expense increased by $97.9 million in the three months ended March
31, 2022 as compared to the three months ended March 31, 2021, primarily driven
by upfront and milestone development-stage funding payments of $100.0 million to
Cytokinetics to acquire a royalty on a development-stage product in the three
months ended March 31, 2022.

G&A expenses

Three months ended March 31, 2022 and 2021

G&A expenses increased by $8.4 million, or 19.4%, in the three months ended March 31, 2022 compared to the three months ended March 31, 2021, primarily driven by higher Operating and Personnel Payments due to increased cash receipts from royalty investments.

Equity in (earnings)/losses of equity method investees

Three months ended March 31, 2022 and 2021

Equity in earnings of equity method investees was $0.4 million in the three months ended March 31, 2022 compared to equity in losses of equity method investees of $1.9 million the three months ended March 31, 2021.



Equity in earnings from the Legacy SLP Interest was $4.5 million and
$5.2 million, in the three months ended March 31, 2022 and 2021, respectively.
Equity in losses of the Avillion entities was $4.1 million and $7.1 million in
the three months ended March 31, 2022 and 2021, respectively.

Interest expense

Three months ended March 31, 2022 and 2021



Interest expense increased by $9.6 million, or 25.8%, in the three months ended
March 31, 2022 as compared to the three months ended March 31, 2021, primarily
driven by the issuance of $1.3 billion senior unsecured notes in July 2021
("2021 Notes"). The weighted average coupon rate was 2.245% and 2.125% in the
three months ended March 31, 2022 and 2021, respectively.

Refer to the "Liquidity and Capital Resources" section for additional discussion of the 2021 Notes.


                                       37
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                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)

Other expense, net

Three months ended March 31, 2022 and 2021



Other expense, net of $45.0 million in the three months ended March 31, 2022,
was primarily comprised of losses on equity securities of $36.2 million driven
by a net decrease in the share price of our investees and losses on available
for sale debt securities of $16.6 million, offset by interest income of
$9.5 million primarily related to our Series A Biohaven Preferred Shares. The
$16.6 million in unrealized losses on available for sales debt securities
included a loss of $10.2 million related to the unrealized movement in fair
value of the MorphoSys Development Funding Bond Forward for which there was no
comparable activity in the prior period.

Other expense, net was $31.0 million in the three months ended March 31, 2021,
primarily comprised of losses on equity securities of $54.2 million driven a
decreased share price of our investees. The decrease was partially offset by
interest income of $16.6 million, primarily related to our Series A Biohaven
Preferred Shares and a gain of $9.1 million related to the unrealized movement
in fair value of the Series B Biohaven Preferred Shares and related Series B
Forwards recorded as Available for sale debt securities.

Net income attributable to non-controlling interests

Three months ended March 31, 2022 and 2021



Net income attributable to the Legacy Investors Partnerships increased by
$14.3 million in the three months ended March 31, 2022 as compared to the three
months ended March 31, 2021, primarily driven by higher net income attributable
to Old RPI.

Net income attributable to the Continuing Investors Partnerships decreased by
$17.9 million in the three months ended March 31, 2022 as compared to the three
months ended March 31, 2021, primarily driven by lower net income attributable
to RP Holdings in the three months ended March 31, 2022. The ongoing exchanges
by investors in the Continuing Investors Partnerships who indirectly own the RP
Holdings Class B Interests for our Class A ordinary shares resulted in a decline
in the Continuing Investors Partnerships' ownership of RP Holdings.

Net income attributable to RPSFT decreased by $9.9 million in the three months
ended March 31, 2022 as compared to the three months ended March 31, 2021. We
expect net income attributable to RPSFT to continue to decline as the assets
held by RPCT mature.

Key Developments and Upcoming Events Relating to Our Portfolio

The key developments impacting our cash receipts and income and revenue from our royalty interests are discussed below:

Commercial Products



•Cystic fibrosis franchise. In April 2021, Vertex announced European Commission
("EC") approval for Kaftrio in combination with ivacaftor for the treatment of
patients with cystic fibrosis ages 12 and older who have at least one F508del
mutation.

In June 2021, Vertex announced that U.S. Food and Drug Administration ("FDA")
approved Trikafta for the treatment of children with cystic fibrosis ages 6
through 11 who have at least one F508del mutation or have certain mutations that
are responsive to Trikafta based on in vitro data.

In January 2022, Vertex announced that the EC granted approval for the label
expansion of Kaftrio in combination with ivacaftor for the treatment of cystic
fibrosis in patients ages 6 through 11 years old who have at least one F508del
mutation in the cystic fibrosis transmembrane conductance regulator gene.

                                       38
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                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)

•Tysabri. In April 2021, Biogen announced that the EC granted marketing
authorization for a subcutaneous injection of Tysabri to treat
relapsing-remitting multiple sclerosis. Biogen also announced that it had
received a Complete Response Letter from the FDA for its sBLA for subcutaneous
Tysabri. The Complete Response Letter indicates that the FDA is unable to
approve Biogen's filing as submitted. Biogen announced that it is evaluating the
Complete Response Letter and will determine next steps in the United States.

In August 2021, Biogen announced results from Phase 3b NOVA study evaluation
every six-week dosing with Tysabri intravenous administration in
relapsing-remitting multiple sclerosis. Results show that every six-week Tysabri
intravenous administration provides a high level of efficacy in controlling
multiple sclerosis disease activity in patients who switched from the approved
every four-week dosing regimen.

•Imbruvica. In June 2021, AbbVie announced Phase 3 GLOW study results for
Imbruvica in combination with Venetoclax for the treatment of first-line CLL and
SLL demonstrated superior progression-free survival versus chlorambucil plus
obinutuzumab as a first-line treatment of CLL. The study also showed improved
duration of remission and significantly improved depth of remission. AbbVie has
indicated that approval could occur in 2022.

In August 2021, AbbVie announced that the U.S. District Court for the District
of Delaware had issued a decision holding patent rights relating to Imbruvica
were valid and infringed by a generic product from Alvogen and Natco. The
decision, which is subject to appeal, prohibits regulatory approval of that
generic product until the last AbbVie patent expires. Previously, AbbVie entered
into several settlement and license agreements with other generic companies.
Consequently, AbbVie does not expect any generic product entry prior to March
30, 2032, assuming pediatric exclusivity is granted.

•Xtandi. In May 2021, Astellas and Pfizer announced that the EC approved Xtandi for the treatment of patients with metastatic hormone-sensitive prostate cancer.



In September 2021, Astellas Pharma and Pfizer announced that Xtandi plus
androgen deprivation therapy (ADT) reduced the risk of death by 34% compared to
placebo plus ADT in the Phase 3 ARCHES study in men with metastatic
hormone-sensitive prostate cancer. The primary results from the ARCHES trial
were published in 2019.

Astellas and Pfizer have indicated that there could be a potential readout of
the Phase 3 EMBARK trial for high-risk non-metastatic prostate cancer in the
second half of 2022.

•Nurtec ODT. In May 2021, Biohaven announced that the FDA approved Nurtec ODT
for the preventative treatment of migraine, indicated for adult patients with
episodic migraine who experience less than 15 headache days per month.

In November 2021, Biohaven announced a strategic collaboration with Pfizer for
the commercialization of rimegepant outside the United States. Pfizer also gains
rights outside the United States to zavegepant, which is being studied in an
intranasal delivery and an oral formulation in Phase 3 clinical trials for
migraine indications.

In April 2022, Pfizer and Biohaven announced that the EC has granted marketing
authorization for Vydura (rimegepant) for both the acute treatment of migraine
with or without aura, and prophylaxis of episodic migraine in adults who have at
least four migraine attacks per month. The EC approval will be valid for all 27
European Union member states as well as Iceland, Liechtenstein and Norway and
local reimbursement approval will follow.

•Trodelvy. In April 2021, Gilead announced the FDA granted full approval to
Trodelvy for adult patients with unresectable locally advanced or metastatic
triple-negative breast cancer (TNBC) who have received two or more prior
systemic therapies, at least one of them for metastatic disease. The approval is
supported by data from the Phase 3 ASCENT study.

In April 2021, Gilead announced that the FDA granted an accelerated approval of
Trodelvy for use in adult patients with locally advanced or metastatic
urothelial cancer who have previously received a platinum-containing
chemotherapy and either a programmed death receptor-1 or a programmed
death-ligand 1 inhibitor. The accelerated approval was based on data from the
international Phase 2, single-arm TROPHY study.
                                       39
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ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)


In June 2021, Gilead announced superior outcomes to standard of care in
second-line treatment of metastatic TNBC in the Phase 3 ASCENT study. Trodelvy
more than doubled overall survival as a second-line treatment in the new ASCENT
subgroup analysis.

In October 2021, Gilead announced a collaboration with Merck & Co. to investigate Trodelvy in combination with Keytruda as a first-line treatment for people with locally advanced or metastatic TNBC.



In November 2021, Gilead announced that the EC granted marketing authorization
for Trodelvy as a monotherapy indicated for the treatment of adult patients with
unresectable or metastatic TNBC who have received two or more prior systemic
therapies, at least one of them for advanced disease. The EC's decision is
supported by results from the Phase 3 ASCENT study, where Trodelvy reduced the
risk of death by 49% and improved median overall survival to 11.8 months versus
6.9 months with physician's choice of chemotherapy.

In January 2022, Gilead announced it has entered into two clinical trial
collaboration and supply agreements with Merck & Co. to evaluate the combination
of Trodelvy and Merck & Co.'s anti-PD-1 therapy Keytruda in first-line
metastatic non-small cell lung cancer (NSCLC). As part of the collaboration,
Merck & Co. will sponsor a global Phase 3 clinical trial of Trodelvy in
combination with Keytruda as a first-line treatment of patients with metastatic
NSCLC.

Additionally, Gilead and Merck & Co. recently established an agreement where
Gilead will sponsor a Phase 2 signal-seeking study evaluating combinations that
include pembrolizumab in first-line NSCLC.

In March 2022, Gilead announced results from the Phase 3 TROPiCS-02 study
evaluating Trodelvy in patients with HR+/HER2- metastatic breast cancer who
received prior endocrine therapy, CDK4/6 inhibitors and two to four lines of
chemotherapy met its primary endpoint with a statistically significant
improvement in progression-free survival versus physician's choice of
chemotherapy. The trial targeted a 30% reduction in the risk of disease
progression or death and the primary endpoint results were consistent with those
observed in the Phase 1/2 IMMU-132-01 study in a subset of HR+/HER2- metastatic
breast cancer patients. The first interim analysis of the key secondary endpoint
of overall survival demonstrated a trend in improvement for overall survival.
Patients will be followed for a subsequent overall survival analysis. The safety
profile for Trodelvy was consistent with prior studies.

•Cabometyx. In January 2021, Exelixis announced that the FDA approved Cabometyx
for patients with advanced renal cell carcinoma (RCC) as a first-line treatment
in combination with Bristol Myers Squibb's Opdivo. The approval was based on the
Phase 3 CheckMate -9ER trial, in which the combination of Cabometyx and Opdivo
significantly improved overall survival while doubling progression-free survival
and objective response rate versus sunitinib as a first-line treatment for
patients with advanced RCC.

In March 2021, Ipsen announced that the EC approved the combination of Cabometyx and Opdivo for the first-line treatment of advanced RCC.



In August 2021, Exelixis announced that their partners Takeda and Ono received
approval in Japan for Cabometyx in combination with Opdivo for the treatment of
unresectable or metastatic RCC.

In September 2021, Exelixis announced detailed results from the expanded Cohort
6 of the Phase 1b COSMIC-021 trial of Cabometyx in combination with atezolizumab
in patients with metastatic CRPC, which included patients with metastatic CRPC
who had been previously treated with novel hormone therapies enzalutamide and/or
abiraterone acetate used along with prednisone. Following discussions with FDA,
Exelixis will not pursue a regulatory submission for the combination regimen
based on cohort 6 of COSMIC-021. CONTACT-02, a global Phase 3 pivotal trial that
initiated enrollment in June 2020 may serve as a basis for future regulatory
applications.

In September 2021, Exelixis announced FDA approved Cabometyx for patients with
previously treated radioactive iodine-refractory differentiated thyroid cancer.
The approval was based on the Phase 3 COSMIC-311 pivotal trial.

                                       40
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                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)

In March 2022, Exelixis announced results from the final analysis of the second
primary endpoint of overall survival from the Phase 3 COSMIC-312 trial, which
evaluated cabozantinib in combination with atezolizumab versus sorafenib in
patients with previously untreated advanced hepatocellular carcinoma. The final
analysis showed neither improvement nor detriment in overall survival for
cabozantinib in combination with atezolizumab versus sorafenib.

Exelixis has indicated it expects Phase 3 data from the COSMIC-313 trial in 1L
RCC in the first half of 2022 and initial Phase 3 data in the second half of
2022 from CONTACT-01 in metastatic NSCLC and CONTACT-03 in advanced or
metastatic RCC.

•Evrysdi. In March 2021, Roche announced that the EC approved Evrysdi for the
treatment of spinal muscular atrophy (SMA) in patients two months of age and
older, with a clinical diagnosis of SMA Type 1, Type 2 or Type 3 or with one to
four splicing modifier of motor neuron 2 copies.

In June 2021, Evrysdi was approved in Japan for the treatment of SMA.



•Orladeyo. In January 2021, Orladeyo was approved in Japan, becoming the first
and only prophylactic hereditary angioedema (HAE) medication approved in the
region.

In April 2021, BioCryst announced that the EC approved Orladeyo for the prevention of recurrent HAE attacks in patients 12 years and older.

In April 2021, BioCryst announced approval of Japanese National Health Insurance System price listing of Orladeyo for prophylactic treatment of HAE.



•Oxlumo. In July 2021, Alnylam announced results from ILLUMINATE-C, a Phase 3
open-label study of lumasiran in patients of all ages with advanced primary
hyperoxaluria type 1 associated with progressive decline in renal function.
Results from the primary analysis at six months demonstrated a substantial
reduction in plasma oxalate from baseline in patients with advanced disease,
including those on hemodialysis. The safety and tolerability profile of
lumasiran following six months of treatment was encouraging across all ages,
with no drug related serious adverse events and injection site reactions as the
most common adverse event.

In March 2022, the FDA accepted Alnylam's supplemental New Drug Application for
lumasiran for the reduction of plasma oxalate in the treatment of patients with
advanced primary hyperoxaluria type 1. The FDA has set an action date for
October 6, 2022. Additionally, a Type II Variation for lumasiran to amend the
label in patients with advanced Primary Hyperoxaluria Type 1 was submitted and
validated by the European Medicines Agency ("EMA") in December 2021.

•Tremfya. In February 2022, Johnson & Johnson announced results from the Phase
2a VEGA proof-of-concept study. Results showed that the combination of Tremfya
and golimumab, a tumor necrosis factor-alpha antagonist, induced higher rates of
clinical response, clinical remission, endoscopic improvement and a composite
histologic-endoscopic endpoint at 12 weeks than either treatment alone in adults
with moderately to severely active ulcerative colitis. Rates of adverse events
were comparable among treatment groups.

In February 2022, Johnson & Johnson announced results from the Phase 2b QUASAR
Induction Study 1. Results showed that a significantly greater proportion of
adults with moderately to severely active ulcerative colitis who previously had
an inadequate response or intolerance to conventional therapies and/or selected
advanced therapies and were treated with Tremfya achieved clinical response at
week 12 (Tremfya 200mg: 61.4% and Tremfya 400mg: 60.7%), the study's primary
endpoint, compared with placebo (27.6%). Safety data at week 12 were consistent
with the safety profile for Tremfya in approved indications.

                                       41
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                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)

Development-Stage Product Candidates

•Aficamten. In December 2021, Cytokinetics announced the FDA granted Breakthrough Therapy Designation for aficamten for the treatment of symptomatic obstructive hypertrophic cardiomyopathy (oHCM) based on results from REDWOOD-HCM.



In February 2022, Cytokinetics announced positive topline results from Cohort 3
of the REDWOOD-HCM Phase 2 trial. Results from Cohort 3 showed that substantial
reductions in the average resting left ventricular outflow tract pressure
gradient (LVOT-G) as well as the post-Valsalva LVOT-G were achieved for patients
with oHCM and a resting or post-Valsalva LVOT-G of ?50 mmHg whose background
therapy included disopyramide and in the majority a beta-adrenergic blocker. The
safety and tolerability of aficamten were consistent with prior experience in
REDWOOD-HCM with no treatment interruptions and no serious adverse events
attributed to treatment reported by the investigators.

•BCX9930. In April 2022, BioCryst announced that it is pausing enrollment in
clinical trials with BCX9930, while BioCryst investigates elevated serum
creatinine levels seen in some patients. BioCryst will not enroll new patients
in the REDEEM-1, REDEEM-2 or RENEW clinical trials during the investigation.
Patients currently enrolled in the trials are continuing on the study drug.

•Gantenerumab. In October 2021, Roche announced that gantenerumab, an
anti-amyloid beta antibody developed for subcutaneous administration, has been
granted Breakthrough Therapy Designation by the FDA for the treatment of people
living with Alzheimer's disease. This designation is based on data showing that
gantenerumab significantly reduced brain amyloid plaque, a pathological hallmark
of Alzheimer's disease, in the ongoing SCarlet RoAD and Marguerite RoAD
open-label extension trials, as well as other studies.

In March 2022, Roche announced a new Phase 3 Alzheimer's disease prevention
trial (SKYLINE). Roche intends to enter into a collaboration agreement with
Banner Alzheimer's Institute's Alzheimer's Prevention Initiative, Massachusetts
General Hospital and the University of Southern California Alzheimer's
Therapeutic Research Institute to further exchange scientific insights and
advance the trial goals. SKYLINE aims to evaluate the potential of gantenerumab
to slow disease progression in people with the earliest biologic signs of
Alzheimer's disease and who show no signs of cognitive impairment.

Roche has indicated it expects Phase 3 data from the GRADUATE 1/2 trial in Alzheimer's disease in the fourth quarter of 2022.



•Omecamtiv mecarbil. In February 2022, Cytokinetics announced that FDA has
accepted and filed the company's New Drug Application (NDA) for omecamtiv
mecarbil. The FDA assigned the NDA a standard review with a PDUFA target action
date of November 30, 2022. The FDA also indicated that it is currently not
planning to hold an advisory committee meeting to discuss the application. The
submission is supported by GALACTIC-HF, which demonstrated a positive effect on
the primary composite endpoint of cardiovascular death or heart failure events
in patients with heart failure and reduced ejection fraction who were receiving
standard of care plus omecamtiv mecarbil.

In February 2022, Cytokinetics announced results from METEORIC-HF, a Phase 3
trial evaluating the effect of treatment with omecamtiv mecarbil compared to
placebo on exercise capacity in patients with heart failure with reduced
ejection fraction. After 20 weeks of treatment, there was no change in peak
oxygen uptake in patients treated with omecamtiv mecarbil versus placebo.

•Otilimab. GlaxoSmithKline has indicated it expects Phase 3 data from the contRast trials in rheumatoid arthritis in the second half of 2022.


                                       42
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                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)

•Pelabresib. In December 2021, MorphoSys presented the latest data from the
Phase 2 MANIFEST study evaluating pelabresib in the treatment of myelofibrosis.
As of September 10, 2021, the data cut-off, a total of 84 JAK inhibitor-naive
patients were enrolled and received the first-line combination of pelabresib and
ruxolitinib. The data showed 68% (n=57) of patients treated with the combination
achieved a greater than or equal to 35% reduction in spleen volume (SVR35) from
baseline at week 24 and 60% (n=47) maintained SVR35 at week 48. Most patients
also saw their symptoms reduced, with 56% (n=46) achieving greater than or equal
to 50% reduction in total symptom score from baseline at week 24.

•PT027. In September 2021, AstraZeneca and Avillion announced positive results
from MANDALA and DENALI, two Phase 3 trials evaluating PT027
(albuterol/budesonide) in patients with asthma. PT027 is a potential
first-in-class inhaled, fixed-dose combination of albuterol, a short-acting
beta2-agonist, and budesonide, an inhaled corticosteroid. In MANDALA, PT027
demonstrated a statistically significant and clinically meaningful reduction in
the risk of severe exacerbations compared to albuterol, when used as a rescue
medicine in response to symptoms. In DENALI, PT027 showed a statistically
significant improvement in lung function measured by forced expiratory volume in
one second, compared to the individual components albuterol and budesonide, and
compared to placebo. The safety and tolerability of PT027 in both trials was
consistent with the known profiles of the components. AstraZeneca has indicated
PT027 regulatory submissions will occur in the first half of 2022.

•Zavegepant. In March 2021, Biohaven announced that it enrolled the first
patient in a Phase 2/3 clinical trial of oral zavegepant for the preventive
treatment of migraine. Accordingly, per the agreement with Biohaven announced in
August 2020, Royalty Pharma paid $100 million to Biohaven for the achievement of
this milestone, bringing the total zavegepant funding to $250 million.

In December 2021, Biohaven announced positive topline results from the second
pivotal clinical trial evaluating the safety and efficacy of intranasal
zavegepant for the acute treatment of migraine in adults. The Phase 3 study
achieved its co-primary regulatory endpoints of pain freedom and freedom of most
bothersome symptom at 2 hours and showed broad efficacy by demonstrating
statistically significant superiority to placebo across a total of 15
prespecified primary and secondary outcome measures. Biohaven plans to file an
NDA for zavegepant with the FDA in the first half of 2022 and other countries
thereafter.

Non-GAAP Financial Results

In addition to analyzing our results on a GAAP basis, management also reviews
our results on a non-GAAP basis. There is no direct correlation between income
from financial royalty assets and royalty receipts due to the nature of the
accounting methodology applied for financial royalty assets. Further, income
from financial royalty assets and the provision for changes in expected cash
flows related to these financial royalty assets can be volatile and
unpredictable. As a result, management places importance on royalty receipts as
they are predictable and we use them as a measure of our operating performance.
Refer to section titled "Non-GAAP Reconciliations" for additional discussion of
management's use of non-GAAP measures as supplemental financial measures and
reconciliations from the most directly GAAP comparable measures of Net cash
provided by operating activities.

Adjusted Cash Receipts is a measure calculated with inputs directly from the
statements of cash flows and includes (1) royalty receipts by product: (i) Cash
collections from royalty assets (financial assets and intangible assets), (ii)
Other royalty cash collections, (iii) Distributions from equity method
investees, plus (2) Proceeds from available for sale debt securities; less (1)
Distributions to non-controlling interests, which represents contractual
distributions of royalty receipts and proceeds from available for sale debt
securities to our historical non-controlling interests related to the Legacy
Investors Partnerships and RPSFT. Adjusted Cash Receipts is most directly
comparable to the GAAP measure of Net cash provided by operating activities.

Adjusted EBITDA and Adjusted Cash Flow are similar non-GAAP liquidity measures
that are both most closely comparable to the GAAP measure, Net cash provided by
operating activities. Adjusted EBITDA is important to our lenders and is defined
under the Credit Agreement as Adjusted Cash Receipts less Payments for operating
and professional costs. Payments for operating and professional costs are
comprised of Payments for operating and professional costs and Payments for
rebates from the statements of cash flows.

                                       43
--------------------------------------------------------------------------------
                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)

Adjusted Cash Flow is defined as Adjusted EBITDA less (1) Development-stage
funding payments - ongoing, (2) Development-stage funding payments - upfront and
milestones, (3) Interest paid, net of Interest received, (4) Investments in
equity method investees and (5) Other (including Derivative collateral posted,
net of Derivative collateral received, and Termination payments on derivative
instruments) plus (1) Contributions from non-controlling interests- R&D, all
directly reconcilable to the statements of cash flows.

Adjusted Cash Receipts and Adjusted Cash Flow are used by management as key
liquidity measures in the evaluation of our ability to generate cash from
operations. Both measures are an indication of the strength of the Company and
the performance of the business. Management also uses Adjusted Cash Flow to
compare its performance against non-GAAP adjusted net income used by companies
in the biopharmaceutical industry. Adjusted EBITDA, as derived from Adjusted
Cash Receipts, is used by our lenders to assess our ability to meet our
financial covenants.


                                       44
--------------------------------------------------------------------------------
                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)

The table below includes the royalty receipts and non-GAAP financial results for
the three months ended March 31, 2022 and 2021 by product in order of
contribution to royalty receipts for the three months ended March 31, 2022 (in
thousands).

                                                      For the Three Months
                                                        Ended March 31,                 2022 vs. 2021 Change
                   Royalties                                     2022                 2021                  $                  %

Cystic fibrosis franchise (1)                               $   201,882          $    166,809          $  35,073              21.0  %
Tysabri                                                          97,439                86,921             10,518              12.1  %
Imbruvica                                                        87,171                89,135             (1,964)             (2.2) %
Promacta                                                         47,897                44,126              3,771               8.5  %
Xtandi                                                           43,395                41,045              2,350               5.7  %
Januvia, Janumet, Other DPP-IVs (2)                              35,682                35,761                (79)             (0.2) %

Tremfya                                                          28,224                     -             28,224                 -  %
Nurtec ODT/Biohaven payment (3)                                  20,375                16,501              3,874              23.5  %
Cabometyx/Cometriq                                               12,857                     -             12,857                 -  %
Farxiga/Onglyza                                                   9,469                 8,562                907              10.6  %
Evrysdi                                                           9,197                 1,677              7,520                    *
Trodelvy                                                          4,892                 2,605              2,287              87.8  %
Erleada                                                           4,886                 3,104              1,782              57.4  %
Emgality                                                          4,764                 3,264              1,500              46.0  %
Crysvita                                                          4,712                 3,588              1,124              31.3  %
Orladeyo                                                          4,426                    12              4,414                    *
Prevymis                                                          4,126                 8,630             (4,504)            (52.2) %

Oxlumo                                                              766                     -                766                 -  %
Other products (4)                                               88,871               137,738            (48,867)            (35.5) %
Total royalty receipts                                      $   711,031          $    649,478          $  61,553               9.5  %
Distributions to non-controlling interests                     (106,385)             (125,721)            19,336             (15.4) %
Adjusted Cash Receipts (non-GAAP)                           $   604,646          $    523,757          $  80,889              15.4  %
Payments for operating and professional costs                   (48,902)              (42,160)            (6,742)             16.0  %
Adjusted EBITDA (non-GAAP)                                  $   555,744          $    481,597          $  74,147              15.4  %
Development-stage funding payments - ongoing                       (500)               (2,641)             2,141             (81.1) %
Development-stage funding payments - upfront                                                                                     -  %
and milestones                                                 (100,000)                    -           (100,000)
Interest paid, net                                              (85,734)              (62,952)           (22,782)             36.2  %
Investments in equity method investees                           (3,050)               (8,714)             5,664             (65.0) %

Contributions from non-controlling interests-                                                                                (68.8) %
R&D                                                                 624                 1,997             (1,373)
Adjusted Cash Flow (non-GAAP)                               $   367,084          $    409,287          $ (42,203)            (10.3) %

Weighted average Class A ordinary shares
outstanding - diluted                                              607,201               607,148


*Percentage change is not meaningful.



(1)The cystic fibrosis franchise includes the following approved products:
Kalydeco, Orkambi, Symdeko/Symkevi and Trikafta/Kaftrio.
(2)Januvia, Janumet, Other DPP-IVs include the following approved products:
Onglyza, Kombiglyze, Galvus, Eucreas and Nesina. The Other DPP-IVs are marketed
by AstraZeneca, Novartis and Takeda.
(3)Includes royalty receipts for Nurtec ODT of $4.8 million and $0.9 million for
the three months ended March 31, 2022 and 2021, respectively, and quarterly
redemptions of $15.6 million in 2022 and 2021 of the Series A Biohaven Preferred
Shares (presented as Proceeds from available for sale debt securities on the
statements of cash flows).
(4)Other products primarily include royalty receipts on the following products:
Bosulif (a product co-developed by our joint venture investee, Avillion I, for
which receipts are presented as Distributions from equity method investees on
the statements of cash flows), Cimzia, Entyvio, HIV franchise, IDHIFA, Letairis,
Lexiscan, Mircera, Myozyme, Nesina, Soliqua, Tazverik and contributions from the
Legacy SLP Interest.






                                       45

--------------------------------------------------------------------------------
ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)

Adjusted Cash Receipts (non-GAAP)

Three Months Ended March 31, 2022 and 2021



Adjusted Cash Receipts increased by $80.9 million to $604.6 million in the three
months ended March 31, 2022 compared to the three months ended March 31, 2021,
primarily driven by an increase of $72.6 million in royalty receipts from
existing products, including the cystic fibrosis franchise, offset by a decline
of $52.9 million from matured royalties, primarily the HIV franchise.
Additionally, we received royalty receipts of $41.8 million in the three months
ended March 31, 2022 from newly acquired assets, primarily Tremfya,
Cabometyx/Cometriq and Oxlumo, The increase in Adjusted Cash Receipts also
reflects a decline in distributions to non-controlling interests due to maturing
royalties jointly owned by the legacy investors.

Below we discuss the key drivers of royalty receipts.

Royalty Receipts



•Cystic fibrosis franchise - Royalty receipts from the cystic fibrosis
franchise, which includes Kalydeco, Orkambi, Symdeko/Symkevi and
Trikafta/Kaftrio, which are marketed by Vertex for patients with certain
mutations causing cystic fibrosis, increased by $35.1 million in the three
months ended March 31, 2022 compared to the three months ended March 31, 2021.
The increase was primarily driven by the launch of Kaftrio in multiple
additional countries outside the United States and the performance of Trikafta
in the United States, including its uptake in children 6 through 11 years old.

•Tysabri - Royalty receipts from Tysabri, which is marketed by Biogen for the
treatment of multiple sclerosis, increased by $10.5 million in the three months
ended March 31, 2022 compared to the three months ended March 31, 2021,
primarily driven by continued global patient growth and positive channel
dynamics in the United States.

•Imbruvica - Royalty receipts from Imbruvica, which is marketed by AbbVie and
Johnson & Johnson for the treatment of blood cancers and chronic graft versus
host disease, decreased by $2.0 million in the three months ended March 31, 2022
compared to the three months ended March 31, 2021, primarily driven by a
slower-than-anticipated market recovery from COVID-19 in chronic lymphocytic
leukemia and increased share pressure from newer therapies in the United States.
This decline was partially offset by growth in regions outside the United
States.

•Promacta - Royalty receipts from Promacta, which is marketed by Novartis for
the treatment of chronic immune thrombocytopenia purpura (ITP) and aplastic
anemia, increased by $3.8 million in the three months ended March 31, 2022
compared to the three months ended March 31, 2021. This growth was primarily
driven by increased use in ITP and further uptake as first-line treatment for
severe aplastic anemia in the United States.

•Xtandi - Royalty receipts from Xtandi, which is marketed by Pfizer and Astellas
for the treatment of prostate cancer, increased by $2.4 million in the three
months ended March 31, 2022 compared to the three months ended March 31, 2021,
primarily driven by demand across various prostate cancer indications.

•Januvia, Janumet, Other DPP-IVs - Royalty receipts from the DPP-IVs for type 2
diabetes, which includes Januvia and Janumet, both marketed by Merck & Co., was
relatively consistent in three months ended March 31, 2022 compared to the three
months ended March 31, 2021.

•Tremfya - Royalty receipts from Tremfya, which is marketed by Johnson & Johnson for the treatment of plaque psoriasis and active psoriatic arthritis, were $28.2 million in the three months ended March 31, 2022 primarily driven by continued market share gains. We acquired the Tremfya royalty in July 2021.



•Nurtec ODT/Biohaven payment - Royalty receipts from Nurtec ODT, marketed by
Biohaven and Pfizer for the acute and preventative treatment of migraine,
increased by $3.9 million in the three months ended March 31, 2022 compared to
the three months ended March 31, 2021. In addition, we received $15.6 million in
fixed payments from Biohaven related to the Series A Biohaven Preferred Shares
during each of the three months ended March 31, 2022 and 2021.

                                       46
--------------------------------------------------------------------------------
                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)

•Cabometyx/Cometriq - Royalty receipts from Cabometyx/Cometriq, which is
marketed by Exelixis, Ipsen and Takeda, were $12.9 million in the three months
ended March 31, 2022, primarily driven by uptake of Cabometyx in combination
with Opdivo as a first-line treatment for patients with advanced renal cell
carcinoma. We acquired the Cabometyx/Cometriq royalty in March 2021.

Distributions to Non-Controlling Interests



Distributions to non-controlling interests decreased by $19.3 million to
$106.4 million in the three months ended March 31, 2022 compared to the three
months ended March 31, 2021, which positively impacted Adjusted Cash Receipts.
The decrease in distributions to non-controlling interests is primarily due to
maturing royalties jointly owned by the legacy investors.

Adjusted EBITDA (non-GAAP)

Three Months Ended March 31, 2022 and 2021



Adjusted EBITDA increased by $74.1 million to $555.7 million in the three months
ended March 31, 2022 compared to the three months ended March 31, 2021 as a
result of the factors noted above in "Adjusted Cash Receipts (Non-GAAP)".
Payments for operating and professional costs, the only adjustment between
Adjusted Cash Receipts and Adjusted EBITDA, increased in three months ended
March 31, 2022, primarily driven by higher Operating and Personnel Payments due
to increased cash receipts from royalty investments.

Adjusted Cash Flow (non-GAAP)

Three Months Ended March 31, 2022 and 2021



Adjusted Cash Flow decreased by $42.2 million to $367.1 million in the three
months ended March 31, 2022 compared to the three months ended March 31, 2021,
primarily driven by upfront and milestone development-stage funding payments of
$100.0 million to Cytokinetics to acquire a royalty on a development-stage
product candidate and a $22.8 million increase in net interest paid in the three
months ended March 31, 2022 due to the first interest payment on the 2021 Notes.
The decrease in Adjusted Cash Flow was partially offset by the increases in
"Adjusted Cash Receipts" and "Adjusted EBITDA" (non-GAAP) noted above and lower
funding requirements by the Avillion Entities.

Non-GAAP Reconciliations



Adjusted Cash Receipts, Adjusted EBITDA and Adjusted Cash Flow are non-GAAP
measures presented as supplemental measures to our GAAP financial performance.
These non-GAAP financial measures exclude the impact of certain items and
therefore have not been calculated in accordance with GAAP. In each case,
because our operating performance is a function of our liquidity, the non-GAAP
measures used by management are presented and defined as supplemental liquidity
measures. We caution readers that amounts presented in accordance with our
definitions of Adjusted Cash Receipts, Adjusted EBITDA, and Adjusted Cash Flow
may not be the same as similar measures used by other companies. Not all
companies and analysts calculate the non-GAAP measures we use in the same
manner. We compensate for these limitations by using non-GAAP financial measures
as supplements to GAAP financial measures and by presenting the reconciliations
of the non-GAAP financial measures to their most comparable GAAP financial
measures, in each case being Net cash provided by operating activities.

We believe that Adjusted Cash Receipts and Adjusted Cash Flow provide meaningful
information about our operating performance because the business is heavily
reliant on its ability to generate consistent cash flows and these measures
reflect the core cash collections and cash charges comprising our operating
results. Management strongly believes that our significant operating cash flow
is one of the attributes that attracts potential investors to our business.

                                       47
--------------------------------------------------------------------------------
                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)

In addition, we believe that Adjusted Cash Receipts and Adjusted Cash Flow help
identify underlying trends in the business and permit investors to more fully
understand how management assesses the performance of the Company, including
planning and forecasting for future periods. Adjusted Cash Receipts and Adjusted
Cash Flow are used by management as key liquidity measures in the evaluation of
the Company's ability to generate cash from operations. Both measures are an
indication of the strength of the Company and the performance of the business.
Management uses Adjusted Cash Receipts and Adjusted Cash Flow when considering
available cash, including for decision-making purposes related to funding of
acquisitions, voluntary debt repayments, dividends and other discretionary
investments. Further, these non-GAAP financial measures help management, the
audit committee and investors evaluate our ability to generate liquidity from
operating activities.

Management believes that Adjusted EBITDA is an important non-GAAP measure in
analyzing our liquidity and is a key component of certain material covenants
contained within the Company's credit agreement. Noncompliance with the interest
coverage ratio and leverage ratio covenants under the credit agreement could
result in our lenders requiring the Company to immediately repay all amounts
borrowed. If we cannot satisfy these financial covenants, we would be prohibited
under our credit agreement from engaging in certain activities, such as
incurring additional indebtedness, paying dividends, making certain payments and
acquiring and disposing of assets. Consequently, Adjusted EBITDA is critical to
the assessment of our liquidity.

Management uses Adjusted Cash Flow to evaluate its ability to generate cash and
performance of the business and to evaluate the Company's performance as
compared to its peer group. Management also uses Adjusted Cash Flow to compare
its performance against non-GAAP adjusted net income measures used by many
companies in the biopharmaceutical industry, even though each company may
customize its own calculation and therefore one company's metric may not be
directly comparable to another's. We believe that non-GAAP financial measures,
including Adjusted Cash Flow, are frequently used by securities analysts,
investors, and other interested parties to evaluate companies in our industry.

The non-GAAP financial measures used in this Quarterly Report on Form 10-Q have
limitations as analytical tools, and you should not consider them in isolation
or as a substitute for the analysis of our results as reported under GAAP. We
have provided a reconciliation of each non-GAAP financial measure to the most
directly comparable GAAP financial measure, in each case being Net cash provided
by operating activities below.

To arrive at Adjusted Cash Receipts, we start with the GAAP line item, Net cash
provided by operating activities, and adjust for the following items from the
statements of cash flows: to add back (1) Proceeds from available for sale debt
securities (redemption of Biohaven Preferred Shares), which are cash inflows
that management believes are derived from royalties and form part of our core
business strategy, (2) Distributions from equity method investees which are
classified as cash inflows from investing activities, (3) Interest paid, net of
Interest received, (4) Development-stage funding payments, (5) Payments for
operating and professional costs, (6) Payments for rebates and (7) Termination
payments on derivative instruments, and to deduct (1) Distributions to
non-controlling interests, which represents distributions to our historical
non-controlling interests related to the Legacy Investors Partnerships and
RPSFT, and (2) Derivative collateral posted or (received), net, both of which
are excluded when management assesses its operating performance through cash
collections, or, Adjusted Cash Receipts.

To arrive at Adjusted EBITDA, we start with Net cash provided by operating
activities and adjust for the following items from the statements of cash flows:
to add back (1) Proceeds from available for sale debt securities (redemption of
Biohaven Preferred Shares), (2) Distributions from equity method investees which
are classified as cash inflows from investing activities, (3) Interest paid, net
of Interest received, (4) Development-stage funding payments and (5) Termination
payments on derivative instruments, and to deduct (1) Distributions to
non-controlling interests and (2) Derivative collateral posted or (received),
net.

To arrive at Adjusted Cash Flow, we start with Net cash provided by operating
activities and adjust for the following items from the statements of cash flows:
to add back (1) Proceeds from available for sale debt securities (redemption of
Biohaven Preferred Shares), (2) Distributions from equity method investees
classified as cash inflows from investing activities and (3) Contributions from
non-controlling interests-R&D, and to deduct (1) Distributions to
non-controlling interests and (2) Investments in equity method investees. This
is intended to present an Adjusted Cash Flow measure that is representative of
cash generated from the broader business strategy of acquiring
royalty-generating assets that are available for reinvestment and for
discretionary purposes.

                                       48
--------------------------------------------------------------------------------
                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

                                  (UNAUDITED)

(in thousands)                                                         For the Three Months
                                                                         Ended March 31,
                                                                                  2022                 2021
Net cash provided by operating activities (GAAP)                             $   460,270          $   526,100
Adjustments:
Proceeds from available for sale debt securities (1), (2)                         15,625               15,625

Interest paid, net (2)                                                            85,734               62,952
Development-stage funding payments - ongoing (3)                                     500                2,641
Development-stage funding payments - upfront and milestones (3)                  100,000                    -
Payments for operating and professional costs                                     48,902               42,160

Distributions to non-controlling interests (2)                                  (106,385)            (125,721)

Adjusted Cash Receipts (non-GAAP)                                           

$ 604,646 $ 523,757



Net cash provided by operating activities (GAAP)                             $   460,270          $   526,100
Adjustments:
Proceeds from available for sale debt securities (1), (2)                         15,625               15,625

Interest paid, net (2)                                                            85,734               62,952
Development-stage funding payments - ongoing (3)                                     500                2,641
Development-stage funding payments - upfront and milestones (3)                  100,000                    -

Distributions to non-controlling interests (2)                                  (106,385)            (125,721)

Adjusted EBITDA (non-GAAP)                                                  

$ 555,744 $ 481,597



Net cash provided by operating activities (GAAP)                             $   460,270          $   526,100
Adjustments:
Proceeds from available for sale debt securities (1), (2)                         15,625               15,625

Contributions from non-controlling interests-R&D (2)                                 624                1,997
Distributions to non-controlling interests (2)                                  (106,385)            (125,721)
Investments in equity method investees (2), (4)                                   (3,050)              (8,714)
Adjusted Cash Flow (non-GAAP)                                               

$ 367,084 $ 409,287





(1) Receipts from the quarterly redemption of the Series A Biohaven Preferred Shares are presented as
Proceeds from available for sale debt securities on the statements of cash flows.
(2) The table below shows the line item for each adjustment and the direct location for such line
item on the statements of cash flows.

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